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PERMITTEE NAME/ADDRESS pm64 fare/ryNawlocar/en!/Odi.w) <br />NAME ,~,yrnvS : ~'+r'1nL Cam, r. ~•~;~~.5j ~~ . <br />AQDRE65 Y U .. ~~ X 2; U <br />CttaiL, CU 81625 <br />FACILTEY 1.yr': u5 •~f': F~~1 rt l- U:lN Ni. :<AT[lih <br />LOCATION~ngllr C'u 8162 <br />A[~:Y ,dILNAt ~. ~n. LU :ILi ,.r ..L:VtRAL MVIZ <br />NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM INPOES) <br />DISCHARGE MONRORINO REPORT /OMRI <br />2-161 /7.19) <br />i 1 <br />PERMITNUMBE DISCNMOENUMBER <br />MONITORING PERIOD <br />A ,MO DAY YEA ~ MO DAY <br />FRO ~ ro g3 09 30 <br />1 111-731 11I-261 1Ib27/ 128-79) !36311 <br />~'•~,in i~rr <br />F - F1ivAL <br />NIf+UK <br />,' INU L/15C:1AK <br />NOTE: Ruq Nstruotlara <br />Form Approved. <br />-98 <br />i+e o <br />Inp thb form. <br />PARAMETER 13 Grd OnlYl QUANTITY OR LO DING 11 Grd On/Yl QUANTITY OR CONCENTRATION NO FREDUENCY SAMPLE <br /> !1653/ /546! !36-15 /4663 l6L6rl " OF ' <br />l3I-371 EX MALYSIs TYPE <br /> AVERAGE MAXIMUM UNITS fLRINIMUM AVERAGE'. MAXIMUM UNITS le7~eal 161-681 169-701 <br />t'h SAMPLE ti•4+A##ti+ ~ ~ <br /> <br />~ '.•M :~i•$'# <br />1L <br /> MEASUREMENT I;'. <br /> w. <br />U~-r~v L O O ~. PEP•MIT {, c•;,. $~4<>} <br />#>~#?k?i!yl. ~• <br />!M,. .. :: <br />6.:'S . <br />. ~ <br />.:.~'?~!#ily~# <br />'3e{J <br />: <br />NC:~/ ..y...; <br />,~.AU. <br /> <br />LFt LUCY( ~R 5$ VAWc <br />REQUIREMENT <br />* # . <br />. <br />~.:.. y4 `. <br />.. :.. :: :.. •.. . <br />. . <br />~i-LLL.~r ~cTiLEAI!L~ SAMPLE ?. g,typ{. y~Y p~jr.'.>. ~5 <br /> MEASUREMENT <br />~ ~ 4 ~ i U O <br />.. <br />PERMIT +F>r><s0~lila ,. t+~r+i; <br />~ <br />:, gar i :. ",ih!il #A!~>F <br />ncPCl~t <br />' ° . <br />~:.':::",,.` <br />;~~ <br />~4.*; <br />. <br />F~ <br />'`. <br />.F <br />~I'G <br />E/~~ <br />..~ <br />A~~:.. <br /> REQUIREMENT ., <br />, •, <br />. <br />;.. .. <br />.. <br />.. . <br />. <br />. <br />. - <br />: .. <br />. . <br />~L~ ANU L>1~tA$t SAMPLE •.•{•%t:uvP ..:,q(. :. !#.###LF $ti•$### 19 <br />r L r L,/. I ;j t ri-GRAV Mt T MEASUREMENT <br />U ~ 7~ b 1 0 U . ~. ~PE.RMIT ... w < <br />MR iti##3 <br />sI>. #&## <br />#e~r .. .:' <br />' <br />-/1!~1'~±Y+r <br />;? <br />yf#~F##>~ <br />:~;..; , s~ <br />. <br />"~NT~k <br />: ii!'4 <br /> <br />crrLvE.ItiT IEKOSS YA4UL <br />REQUIREMENT <br />k#ti,+< . <br />.. <br /> <br />1.. . <br /> <br />f . <br />FLL.r`Ir l.v (,C'1WUUI( Q~: SAMPLE .~; $###$$ #i•ti~$$i• #`I+Pi/i•P <br />1 h~L. 1 n;:ATMENT rLAtvT MEASUREMENT <br />. (.v JV 1 C O PERMIT. <br />~ r<t F~[Jk( kt13Vk1 #?~$~F~I-1f~ <br />~•; :"'~!P###~~~. ..##.#*?I!~i:~~ ### <br />~ei`r~ <br />ysTA <br />~FhLUi~rT LikOSS YA UE REnUIREMENT 3tii3A AYJ ~ YlAE Y MX rIG:.: : <br />. <br />,.. '~~~.-;:'~ ';r~~ '. .:.:.;.~ ::~ ~ ~:~:'1 # <br />•## <br /> SAMPLE' <br /> MEASUREMENT <br /> '..PERMIT: ~ ~ .... .... .... <br />~.. <br />,. .. <br /> <br /> <br />.. . <br /> <br />REQUIREMENT <br />.~ <br />.. <br />... ~ :..:.. <br />~.. ' <br />.~ :• <br />.: :~.~~~:~~ :: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ .. ... ....~:. , <br />•e... .... .... <br />• REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT~.~: <br />~ ~ <br />, <br />~ - .-~ <br />.... . ,. <br />.:~ ~:. .. <br />;: <br /> .REQUIREAII€NT:..: . <br />:. .. ..~ . ... .: <br />,.. ..: <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF LAW TNAT I HAVE PERSO <br />MILIM vATH THE INFORMATION SUBMITTED H NALLY EXAMINED MD <br />EREIN: MD BASED ON TELEPHONE DATE <br /> MY INONRY OF THOSE IND <br />DUALS <br />DIATE <br />ESPONS <br />B <br />FOR <br />l IVI <br />IMME <br />LY R <br />I <br />LE <br />OBTAINING THE INFORMATION, 1 BBJEVE THE SUBMITTED INFORMATION IS / ,~ <br />F.icliarE! R <br />ljjs TRUE <br />I AM AWME TNAT THERE ME <br />ACCUMTE MD COM0.ETE e <br /> , <br />. <br />TI <br />NF <br />ORMA <br />N <br />L <br />I <br />C <br /> <br /> <br />Cr,Vironr~ent~l :~: u,a Nr <br />~~ n~ <br />B <br />C <br />; <br />•001 <br />THE POSSIBWTY OF FNE MD MPR <br />IS M <br />MEN~SEE <br />MD03 <br />~~ <br /> <br />fIONAT <br />Of PR <br />AL EXE <br />N <br />UTNE // <br /> <br />7 <br />l9 0~1'>7Q-~7TZ <br />TU <br />~TJ <br />4" <br />TYPED OR PRlNTEO U.S.C. 1 1375. IlirWeYa InOar Mr mroha nnY A•cANa fMa eP ro S IO,000 <br />aI•s ormuNrMn ermrbamwne e/ Ww«n s menlAa rM 6 ra.ra/ tIRE <br />I <br />CIP <br />C <br />OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />VVMMCN IS ANU CXYLANAIIVN W AN7 VIVLAIIVNEi ll+ITe/enCe a//ITbCOTenM 01/el <br />ELI ILc A;:L~ J_L l.i~ L("Ili :rAI YtO rUk l0yRr2ti/i rt F'x~J Lr `_V~I:i-S~c [.A.3r F',: lYr FLT Kc';U!'~c^l i'.IrT ~. 1:1L .'. <br />~R~A:3t e,r~Ae ~anr'L- AIvALYSI:, ~t_uvuIFEO IF V15IhLe ~rltclY is L.u,Leeb'cU. uRTFtLY SAPiPLLw l^+5T:~uCTtCIv;-[.rr.:7, <br />~~ <br />EPA Form 3320-1 (08.96) Previous editions may bs used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) Ju 1 U'~ / y 61 U li 1- 1311 PAGE lOF <br />